Organization
PRAIRIE HILLS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY R HILDEBRANDT MANAGING MEMBER (OWNER)
(641) 472-0518
Entity
Organization
Contact information
Practice address
505 ENTERPRISE DR SW, INDEPENDENCE, IA 50644-9603
(319) 334-2000
(319) 334-3015
Mailing address
500 N 3RD ST, SUITE 206, FAIRFIELD, IA 52556-2485
(641) 472-0518
(641) 472-0817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483594
—
IA
Enumeration date
05/15/2007
Last updated
08/22/2020
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